Provider Demographics
NPI:1528691573
Name:SINGH, CHARMION (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHARMION
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 YARMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-7649
Mailing Address - Country:US
Mailing Address - Phone:954-632-4766
Mailing Address - Fax:
Practice Address - Street 1:2604 YARMOUTH DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-7649
Practice Address - Country:US
Practice Address - Phone:954-632-4766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9830103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical